Or. Admin. R. 409-028-0000
Senate Bill 934 (2017 Legislature) requires all commercial carriers and coordinated care organizations (CCOs) participating in a national primary care medical home payment model, conducted by the Center for Medicare and Medicaid Innovation, that includes performance-based incentive payments for primary care, to offer a similar alternative payment methodology (APM) to all Patient-Centered Primary Care Homes (PCPCHs) that serve their members or beneficiaries. These rules (OAR 409-028-0000 to 409-028-0120) define CCO reporting requirements to the Oregon Health Authority (OHA). The data will inform the work of the Primary Care Payment Reform Collaborative as it develops and reports on the progress of the legislatively-mandated Primary Care Transformation Initiative, the purpose of which is to direct greater health care resources and investments towards supporting and facilitating health care innovation and care improvement in primary care as a means to achieve the triple aim.
Or. Admin. R. 409-028-0000
Statutory/Other Authority: ORS 413.432 & OL 2017, Ch. 489
Statutes/Other Implemented: OL 2017, Ch. 489